Jurnal Keperawatan Komprehensif (JKK)
Not a member yet
497 research outputs found
Sort by
Social Factors of Community Disaster Preparedness
No full textAims: Indonesia is prone to disasters because of its geography, geology, water, and population. One way to reduce the risk is for the community to be ready through social factors. The purpose of the study to determine social factors of community disaster preparedness.
Methods: the search strategy used Google Scholar, Science Direct, and DOAJ which were searched from 2018-2023. The keywords used were community, disaster preparedness, social capital, community resilience, and social support. The Critical Appraisals Skills Program was then conducted. There were six articles that met the inclusion criteria.
Results: The results of all these articles show that social capital, community resilience and social support have a relationship with disaster preparedness through various research methods. The results also show that social factors are strongly related to disaster management, especially disaster preparedness. The facts also show that there is conformity with the theory that social factor determinants can increase community preparedness in the face of disasters.
Conclusion: Based on the results of the literature review, social factors including social capital, community resilience and social support significantly influence community preparedness in the face of disasters
The Effect of the Use of Progestin Contraception Pills and Combinations on Adequate Production of Exclusive Breast Milk in Breastfeeding Women
No full textAims: To determine the effect of the use of progestin and combined contraceptive pills on the adequacy of exclusive breast milk production in breastfeeding mothers
Methods: This study employs quantitative research with a cross-sectional research design. This study included all breastfeeding mothers who came to the Lemahabang Public Health Center to use pill contraception, a total of 137 people. The sample in this study was 58 people using the purposive sampling technique. Bivariate analysis using chi-square test.
Results: Most of the people using progestin pill contraceptives do not, namely 36 people (62.1%). Most of the used combination pills did not, namely 39 people (67.2%). The adequacy of exclusive breast milk production for breastfeeding mothers is mostly not enough, namely as many as 35 people (60.3%).
Conclusion: It can be concluded that there is an effect of the use of progestin and combined contraceptive pills on the adequacy of exclusive breast milk production in breastfeeding mothers in the Work Area of the Lemahabang Health Center, Karawang Regency 0.05. It is recommended that breastfeeding mothers seek information about the right contraception for themselves before choosing, especially breastfeeding mothers who want to choose contraception so that their milk production is not affected or reduced
Analysis of the Relationship of Knowledge with the Level of Readiness for Menopause in Premenopause Women in Pisangan Jaya Tangerang 2022
No full textAims: menopause is the final stage of the biological processes experienced by women. Hormonal changes during menopause will cause physical and psychological symptoms, with education and knowledge about menopause can encourage ability and readiness aimed especially at premenopausal women. Purpose of this study was to determine and analyze the relationship between knowledge about menopause and the readiness level of premenopausal women.
Methods: this type of research is quantitative with a case control research design. The population is premenopausal women aged 40-48 years and residing in Pisangan Jaya Village. The sampling method used was simple random sampling, and the sample in this study was 73 respondents. Collecting data using a questionnaire about knowledge and readiness for menopause. The statistical test used is Chi-square.
Results: the results of this study indicate that of the 57 respondents the level of readiness to face menopause is in the ready category, mothers with a good level of knowledge about menopause are in the good category (64.4%), in the sufficient category (13.7%), and in the poor category (0.0%). Of the 16 respondents, mothers with a level of readiness to face menopause were in the unprepared category, mothers with a good level of knowledge about menopause were in the good category (2.7%), in the sufficient category (15.1%), and in the poor category (4.1%).
Conclusion: the results of this study also showed that there was a relationship between the level of knowledge of mothers about menopause and the level of readiness to face menopause with a correlation value (p = 0.000). Because the significance value is less than the alpha value (<0.05)
The Effect of Therapeutic Communication on the Intensity of Labor Pain in Active Phase I at Cengkareng Hospital
No full textAims: A study of birth mothers in England showed that 93.5% of women described severe or unbearable pain. Pain that cannot be handled alone will result in anxiety and stress. Anxiety can cause labor to go slow. Stress increases catecholamine and interferes with the release of oxytocin resulting in decreased blood flow to the uterus resulting in acidosis and hypoxia in the fetus. For mothers giving birth, it can reduce uterine contractions, so that labor will take longer. The gate control theory states that many factors influence an individual\u27s perception of pain intensity, and some of these factors are psychological, not physiological. One of the factors that can be done is that midwives can provide mental support by providing good communication to mothers during labor, which is known as Therapeutic Communication.
Methods: This research employs a Quasy Experimental research design with a Pretest-Posttest Control Group Design. The sampling technique used is purposive sampling, with a total sample size of 44 respondents. The T-Test is used to process data.
Results: The results showed that there was an effect of providing therapeutic communication in reducing the intensity of labor pain in mothers in the first active phase of labor at Cengkareng Hospital with a p value <0.005, namely a p value obtained 0.000.
Conclusions : There is an effect of the application of therapeutic communication on reducing labor pain in mothers in the active phase of the first stage of labour. Suggestion: It is expected to be able to apply therapeutic communication to mothers in labor
The Relationship Between Work Duration and Carpal Tunnel Syndrome in Cigarette Rolling Workers
No full textAims: This study aimed to identify the correlation between the length and the period of Work correlated with the incidence of carpal tunnel syndrome among cigarette rolling workers at the Breadfruit Factory.
Methods: This is an analytic observational study with a cross-sectional method. It utilizes the sample selection method of purposive sampling. The information collection tool consists of questions covering personal information, length of service, and physical examination sheets. Statistical test implemented with Chi-square.
Results: The number of cigarette rolling workers used as the sample for this study was 103 people. The statistical test results applying chi-square work duration obtained p-value = 0.005 (p ≤0.05), a p-value of 0.000 (p ≤0.05) was obtained for years of service, indicating a correlation between length of Work and working time with the possible occurrence of Carpal Tunnel Syndrome (CTS) in workers.
Conclusion: There is a significant correlation between length of Work and duration of Work on the emergence of CTS symptoms. As a form of prevention, occupational health and safety nurses can provide adequate education to cigarette companies to pay attention to employee conditions and the possibility of health problems occurring for their employees
Nurse Staffing Factors, Fatigue, and Work-related Stress among Emergency Department Nurses During COVID-19 Pandemic
No full textAims : This study aimed to examine the relationship between nurse staffing factors, fatigue, and stress among emergency department (ED) nurses during pandemic.
Design : Descriptive, correlation, and cross sectional approach.
Methods : Using cross-sectional design, a total of 113 ED nurses in Indonesia selected by convenience sampling completed the survey on the Fatigue Severity Scale (FSS) and the Expanded Nursing Stress Scale (ENSS). Data analysis included descriptive statistics and bivariate analysis.
Results : Nurse staffing factors were not significantly associated with stress (r = -0.07-0.16, p > 0.05). Fatigue correlated with the domain of death and dying (r = 0.19, p < 0.05), problems relating to supervisors (r = 0.19, p < 0.05), workload (r = 0.26, p < 0.01) and patients/families (r = 0.25, p < 0.01), and overall stress (r = 0.21, p < 0.05).
Conclusions : The more severe fatigue the emergency nurses suffered, the worse stress they experienced. The workload and rotation of nurses during pandemic should be readjusted in accordance with current hospital situation. Identification of basic needs during the pandemic such as ensuring the supply of personal protective equipment (PPE) may help to reduce stress and to maintain the service quality in ED. Organizing counseling programs and support group through online meetings can help nurses to share their difficulties and experiences and to prevent them from feeling isolated
Coping Mechanism of Family Caregiver to Handle Stress in Taking Care Dementia Patients: A Case Report
No full textAims: This study aimed to identify the burden, family caregiver reaction, and change of coping response reaction after caring for taking care dementia patient.
Method: The study design used was a qualitative study report. The respondents were two caregivers who took care of mild-moderate dementia patients. We used the Revised Memory and Behavior Problems Checklist, Revised Ways of Coping Checklist (WCCL-R), and Caregiver Burden Inventory (CBI). We also did a pretest and posttest to respondents. The intervention was coping strategy given six times in two weeks.
Results: We found decrease of burden of family caregivers, decrease of reaction to patients’s disturbing behavior and increased of coping of family caregiver.
Conclusion: We conclude that coping strategy affected on caregiver’s burden and reaction to declining cognitive aspect of patients. Coping strategy could reduce family caregivers’ burden in taking care dementia patients
Nurse Mental Workload and Completeness of Documentation in COVID-19 Isolation Rooms
No full textAims : This study is to find out the relationship between nurse mental workload and completeness of documentation in isolation rooms during the COVID-19 pandemic.
Design : This research was correlational with a cross-sectional approach.
Methods : The design of this study was a quantitative study with a cross-sectional approach. This study used primary data obtained through direct observation using a questionnaire consisting of patient demographic data, the mental workload was measured by NASA-TLX (National Aeronautics and Space Administration Task Load Index validity test obtained the value of r= 0,690 – 0,775 and reliability test Cronbach’s Alpha value of 0,797 and the completeness of documentation was measured using the standard instrument for standard documentation evaluation of the Ministry of Health. The research population was nurses who treated COVID-19 patients in Pontianak. Sampling was done using non-probability sampling using a purposive sampling technique with inclusion criteria, nurses who treat Covid-19 patients for at least 5 months. The number of samples was 30 nurses and 24 nursing care documents. Data analysis in this study used the bivariate Spearman\u27s Rho test
Results : The results of Spearman\u27s rho analysis showed a significant value or Sig. (2-tailed) of 0.026. Because the value of Sig (2-tailed) 0.026 was < less than 0.05, there was a significant relationship between mental workload and the completeness of nursing care documentation.
Conclusions : The increase in the number of patients makes the workload higher because it is not proportional to the ratio of nurses to patients
Effectiveness of Hypnotherapy and Classical Music Therapy on Anxiety of Third Trimester Pregnant Women at Winda Clinic in 2022
No full textAims: Pregnancy is a period of crisis for a woman. A process that matures and can cause stress. According to United Nations Children\u27s Fund (UNICEF), 30% of 12,230,142 pregnant women experience anxiety. The way to overcome anxiety is nonpharmacological therapy, one of which is hypnotherapy and classical music therapy.
Methods: Using a quasi experiment with a pretest and posttest group design, researchers observe participants before and after intervention without using a control group. With a sample size of 44 respondents, the sampling technique employed was purposive sampling. To assess variations in the effectiveness of hypnotherapy and classical music therapy on anxiety in third trimester pregnant women, data variables include nominal and ordinal scales, and data are analyzed with the Wilcoxon test with = 0.05 and the Mann-Whitney test.
Results: There was a significant effect of anxiety level before and after hypnotherapy with a significance value of 0.000 (p0.05), and there was a significant effect of anxiety level before and after classical music therapy intervention with a significance value of 0.000 (p0.05). The Mann-Whitney Test demonstrates that there is no difference between the effectiveness of hypnotherapy and classical music because the value of Asymp. Sig. (2-tailed) >, where =0.05 is (0.832>0.05), thus Ho is accepted.
Conclusion: Before and after the intervention, there is a significant difference between the effects of hypnotherapy and classical music therapy on reducing the anxiety level of expectant women. The combination of hypnotherapy and classical music therapy can help pregnant women unwind and provide early stimulation to the fetus, making it a viable intervention for pregnant women
Psychological Changes in Post Kidney Transplant Recipients: Phenomenology Study
No full textAims: Kidney transplantation can have a big impact on recipients, so they must be able to adapt to many changes, including psychological changes. Psychological changes are the most complained about by post- kidney transplant recipients. Psychological changes including feelings of anxiety and worry after kidney transplantation, these feelings arise due to post-transplant complications, feelings of guilt and fear of rejection, treatment regimens and uncertainty about the future. Therefore, recipients must be able to deal with psychological changes after kidney transplantation.
Objective: To explore the psychological changes of post-kidney transplant recipients.
Methods: A qualitative study using a phenomenological approach. This study was conducted on 6 participants who were undergone kidney transplantation. Purosive sampling was performed and data was collected through 35 to 60 min. Data collection in this study was carried out through in-depth interviews, audio recording and field notes. The data analysis technique uses the Collaizi method (1978).
Result: This study obtained results including: psychological adaptation transitions and post-transplant anxiety control strategies.
Conclusion: Kidney transplant provide better psychological changes if the recipients can implement strategies to control emotions. Therefore, it is important to have family, social and nurses support in controlling the psychological changes of post-kidney transplant recipients